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THE MEDICINE SHOPPE #1675
SCH230058-00 MUNSON HEALTHCARE GRAYLING HOSPITAL
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Covered Entity Details
Entity Name
MUNSON HEALTHCARE GRAYLING HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230058-00
Entity Address
1100 E Michigan Ave
GRAYLING, MI 49738
Medicare Provider Number
230058
Participating Start Date
4/1/2024
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE #1675
Pharmacy Address
500 N JAMES ST
GRAYLING, MI 49738-1714
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Hepler, CFO
(231) 935-6702
Contract Pharmacy Representative
ApotheCare, LLC
Jeffrey Keith Steffey, Vice-President
(989) 348-2000
Signed By Date
7/17/2018
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